Active NPIOrganization

Laurie Manthos, D.m.d., P.c.

Dentist, Oral and Maxillofacial Surgery in Worcester, Massachusetts

NPI Number1285750596
Practice location
200 Lincoln St, Suite 1, Worcester, MA 01605-2528
Fax
—
Last updated
January 11, 2008

Laurie Manthos, D.m.d., P.c. is a healthcare organization based in Worcester, MA. Laurie Manthos, D.m.d., P.c. practices in Worcester, MA. The NPI Number for Laurie Manthos, D.m.d., P.c. is 1285750596 and holds a License No. 16823 (MA). The current practice location address for Laurie Manthos, D.m.d., P.c. is 200 Lincoln St, Suite 1, Worcester, MA 01605-2528 and can be reached out via phone at 508-752-2100.

Provider Profile Details

NPI Number
1285750596
Provider Name
Laurie Manthos, D.m.d., P.c.
Provider Entity Type
Organization
Address
200 Lincoln St, Suite 1, Worcester, MA 01605-2528
Phone Number
508-752-2100
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Organization Subpart
No
Authorized Official
Dr. Laurie Manthos, DMD · Owner · 508-752-2100
Provider Enumeration Date
March 21, 2007
Last Update Date
January 11, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Lincoln St
Suite 1
Worcester, MA 01605-2528
Zip
01605-2528
Phone Number
508-752-2100
Worcester, MA 01605Get directions →

Provider Business Mailing Address Details

Address
200 Lincoln St
Suite 1
Worcester, MA 01605-2528
City
Worcester
State
MA
Zip
01605-2528
Phone Number
508-752-2100

License Information

License Number
16823
License State
MA
Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Laurie Manthos, D.m.d., P.c.?

The NPI number of Laurie Manthos, D.m.d., P.c. is 1285750596. It was assigned on March 21, 2007 and is currently active in the NPPES registry.

What is the specialty of Laurie Manthos, D.m.d., P.c.?

Laurie Manthos, D.m.d., P.c. is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in MA under license number 16823.

Where does Laurie Manthos, D.m.d., P.c. practice?

The practice location is 200 Lincoln St, Suite 1, Worcester, MA 01605-2528. The office can be reached at 508-752-2100 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285750596 directly on the NPPES registry website.

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